Generic Name: carbamazepine Brands: Tegretol, Tegretol XR , Equetro, Carbatrol Preparation: Tablets: 200 mg.

Chewable tablets; 100 mg. Extended release tablets; 100, 200, and 400 mg. Suspension; 100 mg/5 ml. Equetro is available in 100, 200, and 300 mg extended release tablets CLASSIFICATION: Anticonvulsant ACTION: Decreases synaptic transmission in the CNS by affecting sodium channels in neurons Prevention of seizures INDICATION / USES: Reduces anxiety, irritability, elation Impulse control behavior COMMON ADVERSE EFFECTS: CNS: headache, tremors, confusion, restlessness, memory loss, seizures, slurred speech, muscle weakness, lack of coordination, lethargy, stupor CV: bradycardia, ECG changes, arrhythmias, hypotension, peripheral circulatory collapse EENT: blurred vision, tinnitus GI: anorexia, nausea, vomiting, abdominal cramps or pain, diarrhea, dry mouth, extreme thirst, metallic taste, weight gain GU: polyuria, glycosuria, proteinuria, incontinence, edema, hyponatremia Hematologic: leukocytosis Skin: rash, pruritus, alopecia, sweating, dryness or thinning of hair CONTRA-INDICATIONS: Hypersensitivity Kidney disease Cardiovascular disease Seizure disorder, myasthenia gravis Dehydration Hypothyroidism

NAME

DOSAGE

MECHANISM OF ACTION Disrupts DNA and protein synthesis in susceptible organisms Bactericidal, or amebicidal action

INDICATION Amebicide in the management of amebic dysentery

ADVERSE REACTION CNS: seizures, dizziness, headache GI: abdominal pain, anorexia, nausea, diarrhea, dry mouth, furry tongue, glossitis, unpleasant taste, vomiting Hematologic: leukopenia Skin: rashes, urticaria

CONTRAINDICATIONS Hypersensitivity to Metronidazole Candidiasis Hepatic Disease Blood Dyscrasias CNS Disease Pregnancy Lactation

NURSING RESPONSIBILITIES Administer with food or milk to minimize GI irritation. Instruct patient to take medication exactly as directed. Do not skip doses or double up on missed doses. Inform patient that medication may cause an unpleasant metallic taste. Inform patient that medication may cause urine to turn dark. smelling stools develop).

Metronidazole Classification: Anti-infective Anti-protozoal

PO 7.5 mg/kg q6hr (not to exceed 4g/day)

NURSING CONSIDERATIONS: Administer medication with food to minimize gastric irritation. Tablets may be crushed if patient has difficulty swallowing. Do not crush or chew extended-release tablets. Instruct patient to take carbamazepine around the clock, exactly as directed. If a dose is missed, take as soon as possible but not just before next dose; do not double doses. Medication should be gradually discontinued to prevent seizures. May cause dizziness or drowsiness. Instruct patients that fever, sore throat, mouth ulcers, easy bruising, petechiae, unusual bleeding, abdominal pain, chills, rash, pale stools, dark urine or jaundice should be reported. Advise patient not to take alcohol or other CNS depressant concurrently with this medication. Caution patients to use sunscreen and protecting clothing to prevent photosensitivity reactions. Inform patient that frequent mouth rinses, good oral hygiene, and sugarless gum or candy may help reduce dry mouth. Saliva substitute may be used.